CAJ | 학술논문

目的：探讨智能静脉输液监控系统对减少儿科门诊输液室患者投诉及医疗纠纷情况实际效果。方法选取2013年12月~2014年10月于延安市人民医院儿科门诊就诊并在智能静脉输液监控系统输液室输液的学龄期患儿192例为智能监护组，同期在普通输液室输液的180例学龄期患儿为普通输液组。智能输液监控系统输液室，每个输液室设立10个监控点，对静脉输液实行全程监控管理。分析两组的投诉因素，比较两组的投诉及纠纷情况、患者满意度、不良反应以及护士工作效率。结果智能监护组的投诉率为7.81%，普通输液组的投诉率为25.56%，智能监护组明显低于普通输液组，差异有统计学意义（P <0.05）。两组的医疗纠纷发生率分别为2.60%、8.89%；不良反应发生率分别为0.00%、2.22%，智能监护组的医疗纠纷发生率和不良反应发生率均明显低于普通输液组，差异有统计学意义（P<0.05、P<0.01）。智能监护组的满意度评分为（9.25±1.25）分，普通输液组的满意度评分为（6.74±1.83）分，智能监护组明显高于普通输液组，差异有统计学意义（P<0.05）。智能监护组护士输液操作时间为（5.6±2.1）min，输液室工作时间为（2.4±1.3）h，护士进出次数为（24.0±0.2）次/d；普通输液组的护士输液操作时间为（8.5±2.4）min，输液室工作时间为（6.5±1.8）h，护士进出次数为（74.0±0.1）次/d，智能监护组显著少于普通输液组，差异均有统计学意义（P<0.05）。结论智能静脉输液监控系统可显著减少患者投诉，改善医疗纠纷，减少不良反应发生，提高护理工作效率。
목적：탐토지능정맥수액감공계통대감소인과문진수액실환자투소급의료규분정황실제효과。방법선취2013년12월~2014년10월우연안시인민의원인과문진취진병재지능정맥수액감공계통수액실수액적학령기환인192례위지능감호조，동기재보통수액실수액적180례학령기환인위보통수액조。지능수액감공계통수액실，매개수액실설립10개감공점，대정맥수액실행전정감공관리。분석량조적투소인소，비교량조적투소급규분정황、환자만의도、불량반응이급호사공작효솔。결과지능감호조적투소솔위7.81%，보통수액조적투소솔위25.56%，지능감호조명현저우보통수액조，차이유통계학의의（P <0.05）。량조적의료규분발생솔분별위2.60%、8.89%；불량반응발생솔분별위0.00%、2.22%，지능감호조적의료규분발생솔화불량반응발생솔균명현저우보통수액조，차이유통계학의의（P<0.05、P<0.01）。지능감호조적만의도평분위（9.25±1.25）분，보통수액조적만의도평분위（6.74±1.83）분，지능감호조명현고우보통수액조，차이유통계학의의（P<0.05）。지능감호조호사수액조작시간위（5.6±2.1）min，수액실공작시간위（2.4±1.3）h，호사진출차수위（24.0±0.2）차/d；보통수액조적호사수액조작시간위（8.5±2.4）min，수액실공작시간위（6.5±1.8）h，호사진출차수위（74.0±0.1）차/d，지능감호조현저소우보통수액조，차이균유통계학의의（P<0.05）。결론지능정맥수액감공계통가현저감소환자투소，개선의료규분，감소불량반응발생，제고호리공작효솔。
Objective To evaluate the effect of smart infusion monitoring system on improving patient complaints and medical disputes in pediatric outpatient transfusion room. Methods From December 2013 to October 2014, in Pediatric Outpatient of Yan'an People's Hospital, 192 school age children with intravenous infusion in mart infusion monitoring system transfusion room were selected as smart monitoring group, at the same time, 180 school age children with intra-venous infusion in ordinary transfusion room were selected as ordinary infusion group. In smart infusion monitoring sys-tem transfusion room, each infusion room set up 10 monitoring points, it took full implementation of the monitoring and management on intravenous infusion. The complaints factors of two groups were analyzed, complaints and disputes, pa-tient satisfaction, adverse reactions, nurses working efficiency of two groups were compared. Results The complaints rate in smart monitoring group was 7.81%, which in ordinary infusion group was 25.56%, this in smart monitoring group was less than that in ordinary infusion group, the difference was statistically significant (P < 0.05). The incidence of medical disputes in two groups were 2.60%, 8.89%respectively, and incidence of adverse reactions were 0.00%, 2.22%respectively, these in smart monitoring group were less than those in ordinary infusion group, the differences were sta-tistically significant (P< 0.05, P< 0.01). The patient satisfaction scroes in smart monitoring group was (9.25±1.25) scroes, and that in ordinary infusion group was (6.74±1.83) scroes, this in smart monitoring group was higher than that in ordinary infusion group, the difference was statistically significant (P< 0.05). In smart monitoring group, the nurse transfusion operation time was (5.6±2.1) min, transfusion room work time was (2.4±1.3) h, the nurse in and out times was (24.0±0.2) times/d; in ordinary infusion group, the nurse transfusion operation time was (8.5±2.4) min, transfusion room work time was (6.5±1.8) h, the nurse in and out times was (74.0±0.1) times/d, these in smart monitoring group were less than those in ordinary infusion group, the differences were statistically significant (P < 0.05). Conclusion Smart infusion monitoring system can significantly reduce patient complaints, improve medical disputes, reduce adverse events and improve nurse efficiency.